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    Home > Medical News > Medical World News > Looking at the long-term medical reform to solve the key problems.

    Looking at the long-term medical reform to solve the key problems.

    • Last Update: 2020-08-28
    • Source: Internet
    • Author: User
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    On July 28th, at a regular briefing on state policy, Wang Hesheng, deputy director of the National Health and Health Commission and deputy director of the Secretariat of the State Council's Leading Group on Medical Reform, pointed out that at present, the reform of the medical and health system has reached an important node and a critical moment, especially in the normal situation of the prevention and control of the new coronary pneumonia epidemic, both need to be based on the current situation, and continue to grasp Real foreign defense input, internal defense rebound work, consolidate the results of epidemic prevention and control, but also to take a long-term view, face up to the problem, adhere to the reform to the end, always take reform as the key to crack the institutional mechanism problems, to deepen medical reform as a strong driving force to promote the construction of a healthy China and prevent major risks in the field of health and health important means.
    next step, we will pay more attention to system integration, coordination and efficiency, pay close attention to overall coordination, supervision and supervision, experience promotion, and strive to achieve new results in important areas and key links of reform.
    meeting, the parties concerned introduced the focus of future reform.
    strengthen the seven capabilities, improve the three guarantees through all aspects of arduous efforts, China's epidemic prevention and control has achieved significant strategic results.
    , the public health system established over the years has played an important role in the prevention and control of this epidemic.
    , the outbreak has exposed some of the short boards and problems of the public health system.
    " especially compared with the 'explosive' demand in the early stages of the outbreak, there is a certain shortage of fever clinics, beds for the treatment of infectious diseases, important medical equipment and medical supplies in a short period of time.
    Ou Xiaoli, director of the social department of the National Development and Reform Commission, said that the total amount of investment in public health-related projects in the central budget this year was twice as high as last year, focusing on supporting the construction of public health.
    "in the coming period, focus on strengthening the construction of relevant medical and health institutions, strengthen the seven capabilities, improve the three safeguards."
    It is understood that the seven capabilities include: First, to strengthen the capacity of fever outpatients, all secondary and above general hospitals to focus on the implementation of the "three districts and two channels" requirements, reasonable layout of clinics, observation rooms, waiting areas, expand waiting spacing, with screening facilities and equipment; Strengthen the treatment capacity of convertible ICU, make it clear that hospitals at all levels of the ICU should set up a certain number of negative pressure wards and negative pressure operating rooms, or set aside the conditions for negative pressure transformation, according to different sizes and functions of the configuration of ventilators, CPR, insometrial membrane pulmonary oxygenation and other medical equipment; All hospitals with treatment tasks should have the conventional detection capacity of known infectious diseases, while giving full play to the role of scientific research institutions, enterprises and other third-party laboratories;
    The three guarantees include: First, to improve the protection of major epidemic treatment, to comprehensively consider population, regional and other factors, to support each province to upgrade and upgrade 1 to 3 major epidemic treatment bases, to assume the critically ill patients treatment and important medical equipment reserve tasks; To guide medical institutions to do a good job in medical masks, protective clothing, eye masks and other reserves, improve the ability to effectively withstand the first wave of demand shocks;
    promoting the balanced distribution of high-quality medical resources for nearly a decade, the reform of public hospitals has achieved significant stage results and played an important role in ensuring people's health, especially in the prevention and control of major outbreaks and emergency medical assistance in public health emergencies.
    on the other hand, the overall supply of high-quality medical resources in China is insufficient and unevenly distributed, which is also an important reason for many patients to seek medical treatment across regions and increase the cost of medical treatment.
    Last year, after consideration and approval by the 9th meeting of the Central Commission for Deep Reform, the National Development and Reform Commission, the National Health and Health Commission, the State Administration of Traditional Chinese Medicine, and the Secretariat of the Leading Group on Medical Reform of the State Council jointly issued the Pilot Work Programme for the Construction of Regional Medical Centers, selecting a number of high-quality medical resources in Beijing, Shanghai and other places where medical resources are relatively rich. Medical institutions, through the construction of sub-centers or branches, to promote doctors multi-point practice and other ways, to patient outflow, relatively weak high-quality medical resources in Hebei, Shanxi, Liaoning, Anhui, Fujian, Henan, Yunnan, Xinjiang 8 provinces (regions) as a pilot, the construction of regional medical centers.
    " At present, the regional medical center construction pilot work is moving forward with great efforts.
    " Ou Xiaoli introduced that recently, the National Development and Reform Commission and relevant departments together on the pilot provinces reported the project construction program for a centralized review, many times to seek expert advice, guide the pilot provinces and project units to urgently modify and improve, according to the procedures have been arranged within the central budget investment to support.
    In the second half of this year, we will continue to accelerate the construction of regional medical centers, guide all localities to press ahead with the project construction program in accordance with the key points of the approved project construction plan, and establish as soon as possible a management system and operating mechanism appropriate to regional medical centers.
    Ou Xiaoli said that the regional medical center should give full play to the role of medical reform "test field", focus on reform and innovation, in the promotion of management system reform, deepen personnel compensation system reform, improve the hospital compensation mechanism, encourage the use of innovative drugs and technology, improve sustainable development capacity and other key links to increase exploration efforts, to come up with a gold-containing reform initiatives.
    Actively support medical institutions to tide over the outbreak of new coronary pneumonia, the State Health Insurance Administration and other relevant departments to confirm and suspected patients all the first treatment, after settlement, to assume the task of treating new coronary pneumonia medical institutions to allocate special funds to ease the pressure on medical institutions funds, and timely settlement with medical institutions.
    Xiong Xianjun, Director of the Medical Services Administration Department of the National Health Insurance Administration, said that the next step is to focus on the following work: First, to do a good job of settlement and liquidation, do not leave the post-account, unified organization of insurance to verify and carry out national liquidation; The introduction of the "Internet plus medical insurance", long prescriptions and other civilian measures normalized, institutionalized, explore the establishment of special groups, specific diseases, medical expenses exemption system;
    " the focus of future reform is to put the relevant policies of the external governance system into effect.
    liang Wanying, director of the reform department of the National Health and Health Commission, pointed out that continuing to deepen the reform of the external system of public hospitals cannot be separated from the further optimization of the government policy environment, adding new momentum to the development of public hospitals, and continuing to deepen the reform of the payment method of medical insurance, the reform of price reform, the reform of the bidding and procurement mechanism for medicines, and the reform of the compensation, personnel and preparation system.
    Liang said that deepening the reform of public hospitals should focus on strengthening the construction of the public hospital service system, strengthening the capacity-building of public hospitals, making full use of the leading and backbone role of public hospitals in the integrated medical and health service system, further strengthening demand-led design of service processes and service projects, strengthening the internal management of public hospitals, and strengthening the cultural construction of public hospitals.
    said he was working with relevant departments to study documents on the high-quality development of public hospitals in accordance with the requirements of the CPC Central Committee and the State Council.
    .
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